Course name | Date

Leukemic Optic Nerve Infiltrate

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Caroline L. Lieux, MD
Presenter/Faculty: Lam, Lieux

A pediatric patient with leukemic infiltrate of the optic nerve in both eyes.

Neurotrophic Corneal Ulcer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk

The patient presented with a neurotrophic corneal ulcer and descemetocele. A lamellar keratectomy, corneal patch graft, amniotic membrane were applied. Preop and post-op-month 1, with amniotic membrane dissolved.

Cicatricial Conjunctivitis, Steven Johnson Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Victor H. Banda, MD
Presenter/Faculty: Amescua, Banda

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

Ophthalmia Nodosa, Right Eye, Secondary to Presumed Moth Setae in the Anterior Vitreous

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Noy Ashkenazy, MD, MS; Janet L. Davis, MD
Presenter/Faculty: Ashkenazy, Davis

A presumed moth setae was identified in the anterior vitreous cavity of a patient with uveitis following ocular trauma by a flying insect. The multifocal keratitis and vitreous opacities improved following two weeks of high-dose oral prednisone.

Acute Posterior Placoid Pigment Epitheliopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD
Presenter/Faculty: Al-khersan

Fundus photo demonstrating confluent creamy yellow-white lesions representing acute posterior multifocal placoid pigment epitheliopathy.

Decorative Ocular Prosthesis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Viet Chau, MD; Patrick Staropoli, MD
Presenter/Faculty: Chau, Staropoli

A unique way to provide cosmesis.

Multifocal Pattern Dystrophy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
A 50-year-old patient presenting asymptomatically with 20/30 vision was found to have yellow outer retinal lesions bright on autofluorescence. Genetic testing confirmed a mutation in the RDS gene. Often this can simulate Stargardt’s disease which has a mutation in the ABCA4 gene. There is no trea…

Ocular Bartonella Henselae Infection

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Jason C. Fan, MD, PhD; Benjamin R. Lin, MD; Landon J. Rohowetz, MD
Presenter/Faculty: Albini, Fan, Lin, Rohowetz

A patient with ocular Bartonella henselae infection manifesting as neuroretinitis and branch retinal artery occlusion.

Canthaxanthin Crystalline Retinopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Alaa Al-Dabbagh, MD
Presenter/Faculty: Al-Dabbagh
A patient with a history of progressive blurry vision in her left eye for 2 years prior to her presentation. She has no significant past medical except for consuming an over the counter oral tanning pills for a period of 7 years that was stopped 2 years prior to her presentation. Her exam was notab…

Removal of Soemmering Ring and Scleral Fixation of Disclocated IOL

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Zubair Ansari, MD; Viet Chau, MD; Kenneth C. Fan, MD, MBA; Nimesh A. Patel
Presenter/Faculty: Ansari, Chau, Fan, Patel
A patient with history of cataract surgery at 19 years old who started noting blurry vision in the right eye found to have a Soemmering ring in the anterior chamber. The ring was removed from the posterior chamber using a scleral tunnel. Surprisingly, a dislocated 3-piece IOL was found. The IOL was…

Glaucoma Drainage Device Exposure

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Yasmin Islam, MD
Presenter/Faculty: Islam

Slit lamp photos demonstrating exposure of a glaucoma drainage device tube in the inferonasal quadrant without evidence of infection.

Optic Nerve Cyst and Coloboma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel

Optic nerve cyst (first image) that over time revealed an optic nerve coloboma (second image).

Orbital Cysts

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Shanlee M. Stevens, MD
Presenter/Faculty: Stevens

An elderly patient with anophthalmic socket pain underwent orbital exploration. Intra-operative photo shows a large cystic lesion superior to her orbital implant. Close up photograph of the cyst shows a 1-mm intact cystic lesion filled with gray opaque fluid.

Phacolytic Glaucoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; Thomas A. Lazzarini, MD; Nathan L. Scott, MD, MPP; Justin H. Townsend, MD
Presenter/Faculty: Dubovy, Lazzarini, Scott, Townsend
A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…

Sub-Retinal Gas Post Pneumatic Retinopexy Managed with Observation

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jason C. Fan, MD, PhD; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Fan, Patel

(A) Fundus photo montage showing superonasal sub-retinal gas in the left eye on POD 1 after pneumatic retinopexy. (B) Single frame fundus photo showing the same. (C) Fundus photo montage on POD 7 showing resolution of the sub-retinal gas bubble with observation alone.

Alveolar Rhabdomyosarcoma

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; Umangi A. Patel, MD
Presenter/Faculty: Dubovy, Patel

Histopathology and radiographic images of rhabdomyosarcoma in a young infant.

Perfluorocarbon Liquid Retained in Anterior Chamber

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Patel, Yannuzzi

PFO liquid in the anterior chamber after retinal surgery. This caused some corneal edema and required removal.

Retinal Whitening from Cytomegalovirus Infection

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Luis J. Haddock, MD; Marilyn A. Marquez, MD
Presenter/Faculty: Davis, Haddock, Marquez

Right eye of patient who presented to clinic due to floaters, on fundus exam he had this peripheral whitish confluent granular lesion with areas of atrophy.

Choroidal Osteoma

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; J. William Harbour, MD; Brandon Sparling
Presenter/Faculty: Dubovy, Harbour, Sparling

Chroroidal Osteoma is a rare benign tumor characterized by the presence of cancellous bone within the peripapillary choroid

Myelinated Retinal Nerve Fiber Layer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Brandon Sparling
Presenter/Faculty: Sparling

Myelinated retinal nerve fiber layer